Provider Demographics
NPI:1821475237
Name:WESTCHESTER CENTER FOR COGNITIVE ASSESSMENT LLC
Entity Type:Organization
Organization Name:WESTCHESTER CENTER FOR COGNITIVE ASSESSMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL NEUROPSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KALMANSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:914-355-8904
Mailing Address - Street 1:89 MOHICAN PK AVE
Mailing Address - Street 2:
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-2308
Mailing Address - Country:US
Mailing Address - Phone:914-355-8904
Mailing Address - Fax:
Practice Address - Street 1:89 MOHICAN PK AVE
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-2308
Practice Address - Country:US
Practice Address - Phone:914-355-8904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-05
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021142103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty